肺气肿内科常规治疗方法非常有限。近年来采用肺减容手术治疗严重肺气肿,获得令人鼓舞的效果。现就有关问题进行探讨。1　概念及发展简史　　1957年,Brantigan等〔1〕首先报道,采用手术切除功能低下的肺组织,减少肺容量,使胸内压力下降,肺功能获得明显改善,用以治疗严重肺气肿, Traditional emphysema treatment is very limited. In recent years, the use of lung volume reduction surgery for severe emphysema, to obtain encouraging results. Now on the issue to be explored. A brief history of concepts and development In 1957, Brantigan et al 〔1〕 first reported that the use of surgical removal of poorly functional lung tissue to reduce lung capacity, so that intrathoracic pressure decreased significantly improved lung function, for the treatment of severe emphysema,